# FAIRWOOD HEARING CARE, PLLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fairwood Hearing Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528645975
- **Authorized official:** DAVID ROLLA RENNE (AUDIOLOGIST/OWNER)
- **Authorized official phone:** (206) 200-4455

## Contact information

- **Practice address:** 16721 SE 162ND ST, RENTON, WA 98058-4229
- **Practice address phone:** (206) 200-4455
- **Practice address fax:** (844) 791-6253
- **Mailing address:** 16721 SE 162ND ST, RENTON, WA 98058-4229
- **Mailing address phone:** (206) 200-4455
- **Mailing address fax:** (844) 791-6253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2021
- **Last updated:** 03/24/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1114974177 | — | WA |